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that are working. st. johns hospital in springfield, took their medicare population and with quality control and customer satisfaction, they were able to reduce $17 million in medicare payment that's were owed. as a result, they got a bonus of $4 million. that's what we need to do in a capitalistic system. spending less money rather than incentivizing more treatment. >> jonathan dine >> like many of the government entitlement programs, medicare, medicaid are all coming to a cusp. they are coming towards a financial cliff where we will not going to be able to save them. i would propose block granting the states money based on population to deliver healthcare for seniors and people over 55. i feel that the states will be more closer to people of the state actually more listen to the legislator and provide you better service. any time you expect the government to manage your money efficiently, we can look at the record of spending mon wrecklessly with mismanagement. i feel hadwe really need to make tough choice or we will all be left with nothing. >> congressman an and senator mccaskill privati
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